MEDICARE: DR. RICHARD CHARLES ANDREW HEYES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	R77057	AZ
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207Y00000X	Otolaryngology Physician	ME160767	FL

General Provider Information

NPI Number	:	1356832539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD CHARLES ANDREW HEYES MD

Provider Business Mailing Address
First Line	:	1515 N FLAGLER DR STE 920
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3432
Country	:	US
Telephone Number	:	561-659-2266
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 N FLAGLER DR STE 920
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3432
Country	:	US
Telephone Number	:	561-659-2266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2018
Last Update Date	:	07/27/2023

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